Individual
MRS. KAY A. GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
2500 W WILLIAM CANNON DR, AUSTIN, TX 78745-5257
(512) 326-9500
Mailing address
2500 W WILLIAM CANNON DR, AUSTIN, TX 78745-5257
(512) 326-9500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
435590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0917973-03
—
TX
01
—
0917973-05
CHIP
TX
Enumeration date
10/16/2006
Last updated
03/20/2015
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